Tyler Nichols, in Southport, CT - Medicare Physical Therapist Provider

Tyler Nichols, is a medicare enrolled "Physical Therapist" provider in Southport, Connecticut. His current practice location is 3530 Post Rd Ste 202, Southport, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 307-4600.

Tyler Nichols is licensed to practice in Connecticut (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548984016.

Contact Information

	Tyler Nichols,
	3530 Post Rd Ste 202, Southport, CT 06890-1169
	(203) 307-4600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tyler Nichols
Gender	Male
Speciality	Physical Therapist
Location	3530 Post Rd Ste 202, Southport, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548984016
Provider Enumeration Date: 09/28/2022
Last Update Date: 09/29/2022

Medicare PECOS Information:

PECOS PAC ID: 5799156394
Enrollment ID: I20230118001810

Medical Identifiers

Medical identifiers for Tyler Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548984016	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(Connecticut)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tyler Nichols allows following entities to bill medicare on his behalf.

Provider Name	Professional Occupational & Physical Therapy Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1629528120 PECOS PAC ID: 3779873401 Enrollment ID: O20170111002415

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tyler Nichols is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Tyler Nichols, 576 Broadhollow Rd, Melville, NY 11747-5002 Ph: (631) 359-5859	Tyler Nichols, 3530 Post Rd Ste 202, Southport, CT 06890-1169 Ph: (203) 307-4600

Reviews and Comments

Physical Therapist in Southport, CT

Gabrielle Alessi, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3683 Post Rd, Southport, CT 06890 Phone: 475-209-8900 Fax: 475-209-8101
Professional Occupational & Physical Therapy, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3530 Post Rd Ste 202, Southport, CT 06890 Phone: 203-307-4600 Fax: 203-307-4601
David L. Curtis, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 921 Kings Hwy W, Southport, CT 06890 Phone: 203-247-2143
Dr. Brian Joseph Uss, NATUROPATHIC DOCOTOR Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 175 Rennell Dr, Southport, CT 06890 Phone: 631-252-6350
Haley Walters, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3530 Post Rd Ste 202, Southport, CT 06890 Phone: 203-307-4692 Fax: 203-307-4601
Mrs. Margaret Rose Yates, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 930 Mill Hill Terrace, Southport, CT 06490 Phone: 203-259-7894

Tyler Nichols, - Medicare Physical Therapist in Southport, CT